2015-11-13T13:59:07-06:00 2014-12-31 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2014-01-01 742838488 DRISCOLL CHILDREN'S HEALTH PLAN % RICK VILLARREAL DRIS 3616946432 615 N UPPER BROADWAY ST CORPUS CHRISTI TX 784010764 MARY D PETERSON CEO 7134994600 2015-11-16 true M P Gerich P00226776 7134994600 2014 2016-03-07 17:11:31Z DR MARY DAHLEN PETERSON 615 N UPPER BROADWAY ST 1621 CORPUS CHRISTI TX 784010764 385749393 false X WWW.DCHPKIDS.COM X 1997 TX DCHP IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE HEALTH CARE TEAM & RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK. 7 4 129 4 0 35154 0 317186494 385359959 -133513 370605 0 136 317088135 385730700 0 0 0 0 8125906 9057070 0 0 0 307560635 385986013 315686541 395043083 1401594 -9312383 68285876 77241043 32763453 51076876 35522423 26164167 X DRISCOLL CHILDREN'S HEALTH PLAN IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE HEALTHCARE TEAM AND RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK. false false 364846327 385360095 DRISCOLL CHILDREN'S HEALTH PLAN IS THE CONTRACTOR FOR THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). THIS SERVICE AREA INCLUDES 14 COUNTIES COMPRISED OF ARANSAS, BEE, BROOKS, CALHOUN, GOLIAD, JIM WELLS, KARNES, KENEDY, KLEBERG, LIVE OAK, NUECES, REFUGIO, SAN PATRICIO, AND VICTORIA. THE PLAN ALSO PROVIDES HEALTH BENEFITS FOR CHILDREN ENROLLED IN THE STATE OF TEXAS ACCESS REFORM (STAR) PROGRAM FOR 24 COUNTIES. THE PLAN IS A HEALTH MAINTENANCE ORGANIZATION (HMO) COMMITTED TO PROVIDING ITS MEMBERS A NETWORK OF HEALTH SERVICE PROVIDERS. ITS AFFILIATION WITH DRISCOLL CHILDREN'S HOSPITAL (DCH), THE SOLE CORPORATE MEMBER, LENDS TO THE PLAN'S SUCCESS BY OFFERING ITS MEMBERS DCH'S EXTENSIVE NETWORK INCLUDING PHYSICIANS, HOSPITAL, AND SERVICES IN ITS TOTAL EXPANDED SERVICE AREA, THUS OFFERING CHIP AND STAR MEMBERS WHO LIVE IN THE ADJACENT COUNTIES A FULL CONTINUUM OF QUALITY SERVICES TAILORED TO MEET THE NEEDS OF THE CHIP AND STAR POPULATION. THE PLAN'S ENROLLMENT WAS 141,115 AND 110,227 AT DECEMBER 31, 2014 AND 2013, RESPECTIVELY. 364846327 true false false true false false false false false true true false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 129 true false false false false false false false false false false X 7 4 false false true false true true true true true false false true true true true true true true true false TX X RICK VILLARREAL 3616946781 615 N UPPER BROADWAY ST STE 1621 CORPUS CHRISTI TX 784010764 X WILLIAM JAMES STERETT CHAIRMAN OF THE BOARD 1.0 2.0 X 0 0 0 MARY DAHLEN PETERSON PRESIDENT 40.0 1.0 X X 342418 0 71787 DAVID ERIC HAMON SECRETARY/TREASURER 5.0 40.0 X X 0 354938 89878 CLARENCE IVAN WILSON MEMBER 1.0 5.0 X 0 10000 0 STEVEN FELIX WOERNER MEMBER 1.0 40.0 X 0 544360 103063 SAMUEL LOYD NEAL JR MEMBER 1.0 5.0 X 0 10000 0 JOSEPH ROLAND FULTON MEMBER 1.0 5.0 X 0 10000 0 SAM LOUIS SUSSER MEMBER 1.0 5.0 X 0 0 0 MICHAEL PIERCE LANCE VICE PRESIDENT OF OPERATIONS 40.0 0.0 X 247413 0 14209 RICARDO JAVIER VILLARREAL VICE PRESIDENT OF FINANCE 40.0 0.0 X 236591 0 33386 LAUREN ANN PARSONS EXEC DIRECTOR OF COMPLIANCE 40.0 0.0 X 70942 0 3274 ERNEST DALE BUCK CHIEF MEDICAL OFFICER 40.0 0.0 X 314515 0 23315 WILLIAM BRIAN BRENDEL MEDICAL DIRECTOR 40.0 0.0 X 288923 0 21292 DONALD WELL DIR PROV REL CONTCTG & CLAIMS 40.0 0.0 X 139031 0 10085 HEATHER PIGOTT SENIOR DIRECTOR OF HEALTH SERV 40.0 0.0 X 135902 0 11126 JUDITH KRAFT DIRECTOR OF REGULATORY AFFAIRS 40.0 0.0 X 136509 0 15850 DONNA DEEB DIR MEMBER SVS & OUTREACH 40.0 0.0 X 104951 0 4447 2017195 929298 401712 9 false true false VALENCE HEALTH 540 W MADISON 1500 CHICAGO IL 60661 THIRD PARTY ADMIN 12200203 HEALTH MANAGEMENT SYSTEMS 5615 HIGH POINT DRIVE 900 NEW YORK NY 100877151 BENEFIT SERVICES 1239222 CORPORATE PRINTING INC 3509 OAK FOREST DRIVE HOUSTON TX 77018 PRINTING 164995 MURDOCK INFORMATION SYSTEMS 7830 MARINETTE HOUSTON TX 77074 HEALTH INFO. EX SVCS 542903 SHELBY KILLION RD 7221 ST JAMES COURT CORPUS CHRISTI TX 78413 NUTRITION CONSULTANT 180205 14 0 Preimum Revenue 524292 385246449 385246449 Net Reinsurance 524292 -292490 -292490 Other Income 900099 406000 406000 385359959 343424 343424 0 0 0 0 0 45874 18693 27181 27181 27181 0 0 0 OTHER DONATIONS 900099 136 136 136 385730700 385360095 370605 0 0 0 0 1259727 1259727 0 5994028 1814602 4179426 0 400688 168289 232399 943978 368718 575260 458649 192633 266016 14895728 1590792 13304936 24934 24934 0 0 0 8500 8500 2685095 2685095 152245 152245 1634073 1634073 435886 435886 0 315996 315996 251007 251007 0 0 0 0 55972 55972 132810 132810 Medical Expenses 353259961 353259961 Premium Taxes 6730005 6191605 538400 Member Value Add Expense 3580395 3580395 ALLOCATED COSTS 888236 888236 935170 935170 395043083 364846327 30196756 0 23552437 42178041 9206461 9206156 0 0 4490051 5773540 0 0 0 0 0 0 0 0 0 53573 732489 624909 177277 107580 0 0 24645601 16233087 0 0 0 0 6214049 3689066 68285876 77241043 27413338 44819601 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5350115 6257275 32763453 51076876 X 0 0 0 0 35522423 26164167 35522423 26164167 68285876 77241043 -9312383 -45873 X false true X false true true X 423224 185751 162643 35154 0 806772 152114133 150430135 290937187 317186494 385360095 1296028044 0 0 0 152537357 150615886 291099830 317221648 385360095 1296834816 0 0 0 1296834816 362081 525837 441183 387321 343424 2059846 0 362081 525837 441183 387321 343424 2059846 0 0 152899438 151141723 291541013 317608969 385703519 1298894662 0.99841 0.99812 0.00159 0.00188 X false false false false false true 112267 false false false 112267 false 732489 624909 107580 107580 VANGUARD - MUTUAL FUNDS 16233087 F 16233087 0 Rebate Liability 500000 Due to CPSST 240441 Due to DM&FPG 2465063 A/P-DVPG 433 DUE TO DHC 3757 DUE TO DPG 29462 UNEARNED PREMIUMS 3018119 6257275 385033383 385033383 697317 697317 385730700 394345766 394345766 697317 697317 395043083 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 697,317 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 697,317 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X X X false true false false false false false false false MARY DAHLEN PETERSON PRESIDENT 241118 0 83800 0 17500 0 0 56468 15319 0 357737 56468 0 0 DAVID ERIC HAMON SECRETARY/TREASURER 0 23587 0 109593 0 221758 0 67046 0 22832 0 444816 0 0 STEVEN FELIX WOERNER MEMBER 0 326457 0 200813 0 17090 0 87364 0 15699 0 647423 0 0 WILLIAM BRIAN BRENDEL MEDICAL DIRECTOR 251048 0 37875 0 0 0 0 10405 10887 0 299810 10405 0 0 JUDITH KRAFT DIRECTOR OF REGULATORY AFFAIRS 114845 0 17138 0 4526 0 0 7806 8044 0 144553 7806 0 0 MICHAEL PIERCE LANCE VICE PRESIDENT OF OPERATIONS 197855 0 49558 0 0 0 0 10517 3692 0 251105 10517 0 0 RICARDO JAVIER VILLARREAL VICE PRESIDENT OF FINANCE 189091 0 47500 0 0 0 0 18386 15000 0 251591 18386 0 0 ERNEST DALE BUCK CHIEF MEDICAL OFFICER 255175 0 40804 0 18536 0 0 12752 10563 0 325078 12752 0 0 SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NAME DEFERRAL AMOUNT D. ERIC HAMON $ 221,758 STEVE WOERNER $ 17,090 NO PAYMENTS WERE RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS DRISCOLL CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HEALTH PLAN. FORM 990, PART VI, SECTION A, LINE 7A CLASS OF PERSONS AND NATURE AND THEIR RIGHTS ANY VACANCY OCCURRING IN THE BOARD OF DIRECTORS SHALL BE FILLED IN ACCORDANCE WITH THE FOLLOWING PROCEDURE: THE MEMBER SHALL ELECT AND APPOINT A CANDIDATE TO FILL THE VACANCY. FORM 990, PART VI, SECTION A, LINE 7B CLASS OF THE PERSON, DECISIONS THAT REQUIRE APPROVAL, AND VOTING RIGHTS THE FOLLOWING MATTERS ARE RESERVED TO THE MEMBER AND SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO BE EFFECTIVE: A. ANNUAL OPERATING & CAPITAL BUDGETS OF THE CORPORATION; B. MERGER, ACQUISITION OR CONSOLIDATION OF THE CORPORATION; C. BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTEE OF ANOTHER DEBT OR SIMILAR ACTION; AND D. APPOINTMENT & REMOVAL OF DIRECTORS IN ACCORDANCE WITH THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 PROVIDED TO GOVERNING BODY THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH POLICY ANNUALLY, ALL DIRECTORS, OFFICERS, AND KEY PERSONNEL FILL OUT A CONFLICT OF INTEREST FORM. THE COMPLIANCE OFFICER MAKES SURE ALL CONFLICT OF INTEREST FORMS ARE TURNED IN AND REVIEWED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW OF OFFICERS OR KEY EMPLOYEES THE BOARD OF DIRECTORS REVIEW THE APPLICABLE MARKETING DATA PROVIDED BY A THIRD PARTY COMPENSATION FIRM AND MATCHES THE PRESIDENT/CEO SALARY TO THE APPROPRIATE MARKET RATE FOR THE DUTIES. SULLIVAN COTTER REVIEWED 2014. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION REVIEW OF OFFICERS OR KEY EMPLOYEES THE BOARD OF DIRECTORS REVIEW THE APPLICABLE MARKETING DATA PROVIDED BY A THIRD PARTY COMPENSATION FIRM AND MATCHES THE PRESIDENT/CEO SALARY TO THE APPROPRIATE MARKET RATE FOR THE DUTIES. SULLIVAN COTTER REVIEWED 2014. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS MADE AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE DECEMBER 8, 2014. THE GOVERNING BOARD OF DRISCOLL CHILDREN'S HOSPITAL (DCH) APPOINTED A BYLAWS COMMITTEE TO REVIEW AND MAKE PROPOSED RECOMMENDATIONS TO THE BYLAWS OF DRISCOLL HEALTH PLAN (DHP) FOR THE PURPOSE OF ENSURING PROPER OVERSIGHT OF THE CORPORATION AND ITS RELATED ENTITIES AND DELEGATION OF AUTHORITY AS APPROPRIATE. THE DHP BYLAWS WERE REFORMATTED TO MAINTAIN CONSISTENCY WITH THE 2013 REVISED DCH BYLAWS. THE FOLLOWING IS A SUMMARY OF THE MAJOR CHANGES: ARTICLE II. MEMBER THE RESERVED POWERS OF DCH WERE EXPANDED TO REFLECT ACTUAL PRACTICE AND CONSISTENCY AMONG THE SUBSIDIARIES ARTICLE III. BOARD OF DIRECTORS COMPOSITION OF THE BOARD WAS CLARIFIED. - NUMBER AND QUALIFICATION OF THE DIRECTORS DEFINED. - PREVIOUS BYLAWS DO NOT DEFINE STATUS OF EX-OFFICIO MEMBERS, SUCH AS THE PRESIDENT OF DHP, PRESIDENT AND EXECUTIVE VICE PRESIDENT OF DCH. - THERE WAS NO CHANGE IN THE NUMBER OF VOTING MEMBERS (7) WHICH INCLUDES THE 3 LISTED ABOVE PLUS 4 ADDITIONAL DIRECTORS. - CMO WAS ADDED EX-OFFICIO WITHOUT VOTE, WHICH REFLECTS CURRENT PRACTICE. ARTICLE IV. BOARD CHAIR AND OFFICERS SIMPLE CLARIFICATIONS WERE MADE TO THE DESCRIPTIONS. THE DUTIES OF THE DHP PRESIDENT WERE EXPANDED. AUTHORITY FOR VICE PRESIDENTS ADDED. CLARIFIED THE ROLE OF TREASURER VERSUS THE CORPORATION'S FINANCIAL OFFICER. ARTICLE V. COMMITTEES STANDING COMMITTEES OF THE BOARD WERE ADDED TO THE BYLAWS TO MEET BEST PRACTICES FOR BOARD DELEGATED AUTHORITY. THESE INCLUDE THE QUALITY MANAGEMENT COMMITTEE AND IT SUBCOMMITTEES AND THE WASTE, FRAUD AND ABUSE COMMITTEE. COMPOSITION, TERMS AND VOTING RIGHTS OF COMMITTEES ADDED. ARTICLE VI. CONFLICTS OF INTEREST THIS SECTION WAS COMPLETELY REWRITTEN TO BRING THE LANGUAGE UP TO DATE BASED UPON LEGAL AND REGULATORY REQUIREMENTS. PREVIOUS BYLAWS CONTAINED ONLY ONE SMALL AND INADEQUATE SECTION ON CONFLICTS OF INTEREST. ARTICLE VII. INDEMNIFICATION AND INSURANCE INDEMNIFICATION LANGUAGE WAS UPDATED AND BROADENED TO ALLOW FOR THE ADVANCE REIMBURSEMENT OF EXPENSES INCURRED BY BOARD MEMBERS PRIOR TO FINAL RESOLUTION OF THE MATTER. DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742577746 HOSPITAL TX 501(C)(3) 3 NA false DRISCOLL PHYSICIAN'S GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HOSPITAL TX 501(C)(3) 3 DCH false DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HOSPITAL TX 501(C)(3) 3 DCH false DRISCOLL MATERNAL & FETAL PHYSICIAN'S GR 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTH CARE TX 501(C)(3) 7 DCH false CHILDRENS PHYSICIAN SERVICES OF SOUTH TX 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78401 742620408 HOSPITAL TX 501(C)(3) 3 DCH false DRISCOLL FOUNDATION 615 NORTH UPPER BROADWAY 1635 CORPUS CHRISTI TX 784010765 741170270 CHAR. TRUST TX 501(C)(3) 11A NA false DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 010962276 HEALTH CARE TX 501(C)(3) 11A DCH false false false false false false false false false false false true false true true true true true false false